Stitely, Kevin Lee

Stitely, Kevin Lee is an individual health care provider with primary practice located at 29466 Pintail Dr Suite 6, Easton MD 21601-9323. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Stitely, Kevin Lee can be contacted via phone (410) 822-4220.

Contact Information

Primary practice address
29466 Pintail Dr Suite 6 Easton MD 21601-9323
Fax: (410) 822-4462
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X D48064 Maryland

Profile Details

NPI number 1669453742
LBN Legal business name Stitely, Kevin Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2005
Last updated Dec 8th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669453742 NPPES
Maryland MEDICAID 852121200
Maryland Other E4810003
Maryland Other 232884

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